Helpline Feedback Form

National Freephone Helpline: User Feedback Survey

Fields marked with an asterisk (*) are required.

Which one of the following Women’s Aid Helpline services did you use? *

Helpline

Language Line

Text (for deaf / hard of hearing women)

Instant Messaging Support Service (IMSS)

Would you use the Helpline/Language Line/Text/Email/IMSS service again? *

Yes

Do you feel you have a better understanding of the issues you contacted us about? *

Yes

Not Applicable

Do you feel you got the information you needed to help you make decisions about your future? *

Yes

Not Applicable

Please select whether you agree or disagree with the following statements

	Strongly Agree	Agree	Neither Agree nor Disagree (neutral)	Disagree	Strongly Disagree
The helpline Worker listened To you in a Supportive and Non-judgement Non-directive Way	Strongly Agree	Agree	Neither Agree nor Disagree (neutral)	Disagree	Strongly Disagree
The helpline Worker had a Good knowledge About domestic Violence and the Support Available to you	Strongly Agree	Agree	Neither Agree nor Disagree (neutral)	Disagree	Strongly Disagree

Do you feel you were provided with the emotional support you needed at this time? *

Yes

Not Sure

Where did hear about the services of the 24 Hour National Freephone Helpline? *

If you answered ‘no’ to any of the questions please feel free to elaborate further or include any other relevant comments?

Women's Aid